Publication:
Early Undifferentiated Arthritis: A Developing Country Perspective from Nepal

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorVaidya, Binit
dc.contributor.authorBaral, Rikesh
dc.contributor.authorNakarmi, Shweta
dc.date.accessioned2026-09-03T06:17:05Z
dc.date.available2026-09-03T06:17:05Z
dc.date.issued2018
dc.descriptionBinit Vaidya Department of Rheumatology, National Centre for Rheumatic Diseases, Ratopul, Kathmandu, Nepal http://orcid.org/0000-0002-4840-8924 Rikesh Baral Department of Rheumatology, National Centre for Rheumatic Diseases, Ratopul, Kathmandu, Nepal Shweta Nakarmi Department of Rheumatology, National Centre for Rheumatic Diseases, Ratopul, Kathmandu, Nepal
dc.description.abstractAbstract Early undifferentiated arthritis is a group of inflammatory joint disease of less than 3 months duration that do not classify under any of the specific rheumatic or connective tissue disorder. Previously, inflammatory arthritis used to be treated only when there was a clear evidence of damage or deformity occurring with it. Use of disease modifying anti-rheumatic drugs were considered potentially harmful early in the course of arthritis which could be self-limiting. However, with the abundance of data on outcomes of early arthritis and identification of factors that can help to predict those outcomes lead to earlier use of such DMARDs. Better understanding of serological tests like anti-CCP antibodies and imaging modalities like high frequency ultrasound with power doppler and magnetic resonance imaging has increased the diagnostic and prognostic yield of such early arthritis cases. It is now imperative that the risk be assessed early in the course of disease and early DMARDs be instituted for better outcome in these cases. This review analyses the historical evolution of evidence in the management of early undifferentiated arthritis and summarises the treatment approach, monitoring and disease outcomes till date. Keywords: Arthritis, Rheumatoid, Ultrasonography
dc.identifierhttps://doi.org/10.31729/jnma.3893
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7595
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectArthritis
dc.subjectRheumatoid
dc.subjectUltrasonography
dc.titleEarly Undifferentiated Arthritis: A Developing Country Perspective from Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeReview Article
oaire.citation.endPage990
oaire.citation.startPage983
relation.isJournalIssueOfPublication0d288868-47e6-4341-8de4-d6fe992a55c7
relation.isJournalIssueOfPublication.latestForDiscovery0d288868-47e6-4341-8de4-d6fe992a55c7
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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